How a Point-of-Care Dashboard Facilitates Co-production of Health Care and Health for and with Individuals with Psychotic Disorders: A Mixed-methods Case Study

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Gremyr, AndreasJönköping University,The Jönköping Academy for Improvement of Health and Welfare,Department of Psychotic Disorders, Sahlgrenska University, Hospital, Sahlgrenska Universitetssjukhuset Psykiatri Psykos, Göteborgsvägen 31, 431 80, Mölndal, Sweden; Jönköping Academy for Improvement of Health and Welfare, School of Health and Welfare, Jönköping University, Barnarpsgatan 39, 55111, Jönköping, Sweden. (author)

How a Point-of-Care Dashboard Facilitates Co-production of Health Care and Health for and with Individuals with Psychotic Disorders : A Mixed-methods Case Study

Article/chapterEnglish2022

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2022-12-30
BioMed Central (BMC),2022
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LIBRIS-ID:oai:DiVA.org:hj-56233
https://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-56233URI
https://doi.org/10.1186/s12913-022-08992-2DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-56998URI
https://gup.ub.gu.se/publication/322380URI

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Language:English
Summary in:English

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Subject category:art swepub-publicationtype

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Published in doctoral thesis in manuscript form.
BackgroundIndividuals with psychotic disorders experience widespread treatment failures and risk early death. Sweden’s largest department specializing in psychotic disorders sought to improve patients’ health by developing a point-of-care dashboard to support joint planning and co-production of care. The dashboard was tested for 18 months and included more than 400 patients at two outpatient clinics.MethodsThis study evaluates the dashboard by addressing two questions:Can differences in health-related outcome measures be attributed to the use of the dashboard?How did the case managers experience the accessibility, use, and usefulness of the dashboard for co-producing care with individuals with psychotic disorders? This mixed-method case study used both Patient-Reported Outcome Measures (PROM) and data from a focus group interview with case managers. Data collection and analysis were framed by the Clinical Adoption Meta Model (CAMM) phases: i) accessibility, ii) system use, iii) behavior, and iv) clinical outcomes. The PROM used was the 12-item World Health Organization Disability Assessment Schedule (WHODAS 2.0), which assesses functional impairment and disability. Patients at clinics using the dashboard were matched with patients at clinics not using the dashboard. PROM data were compared using non-parametric statistics due to skewness in distribution. The focus group included five case managers who had experience using the dashboard with patients.ResultsCompared to patients from clinics that did not use the dashboard, patients from clinics that did use the dashboard improved significantly overall (p = 0.045) and in the domain self-care (p = 0.041). Focus group participants reported that the dashboard supported data feedback-informed care and a proactive stance related to changes in patients’ health. The dashboard helped users identify critical changes and enabled joint planning and evaluation.ConclusionDashboard use was related to better patient health (WHODAS scores) when compared with matched patients from clinics that did not use the dashboard. In addition, case managers had a positive experience using the dashboard. Dashboard use might have lowered the risk for missing critical changes in patients’ health while increasing the ability to proactively address needs. Future studies should investigate how to enhance patient co-production through use of supportive technologies.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Health Care Service and Management, Health Policy and Services and Health Economy hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Psykiatri hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Psychiatry hsv//eng
Coproduction
Learning health systems
Schizophrenia
Psychosis
Coproduction; Learning health systems; Psychosis; Schizophrenia.

Added entries (persons, corporate bodies, meetings, titles ...)

Holmberg, Christopher,1984Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences(Swepub:gu)xhchri (author)
Thor, Johan,1963-Jönköping University,The Jönköping Academy for Improvement of Health and Welfare,Jönköping Academy for Improvement of Health and Welfare, School of Health and Welfare, Jönköping University, Barnarpsgatan 39, 55111, Jönköping, Sweden.(Swepub:hj)thjo (author)
Malm, UlfGothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi,Institute of Neuroscience and Physiology(Swepub:gu)xmalul (author)
Andersson-Gäre, BoelJönköping University,The Jönköping Academy for Improvement of Health and Welfare,HHJ. ARN-J (Aging Research Network - Jönköping),Jönköping Academy for Improvement of Health and Welfare, School of Health and Welfare, Jönköping University, Barnarpsgatan 39, 55111, Jönköping, Sweden; Futurum Academy for Health and Care, Region Jönköping County, Jönköping, Sweden(Swepub:hj)andboe (author)
Andersson, Ann-Christine,1968-Malmö universitet,Jönköping University,The Jönköping Academy for Improvement of Health and Welfare,Institutionen för vårdvetenskap (VV),Jönköping Academy for Improvement of Health and Welfare, School of Health and Welfare, Jönköping University, Barnarpsgatan 39, 55111, Jönköping, Sweden.(Swepub:mau)hsanan (author)
Jönköping UniversityThe Jönköping Academy for Improvement of Health and Welfare (creator_code:org_t)

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